| Melissa Kozlowski, Llc | |
|
115 Campbell St Ste 203 Geneva IL 60134-2777 | |
| (815) 531-4104 | |
| Not Available |
| Full Name | Melissa Kozlowski, Llc |
|---|---|
| Speciality | Counselor |
| Location | 115 Campbell St Ste 203, Geneva, Illinois |
| Authorized Official Name and Position | Melissa Kozlowski (DR.) |
| Authorized Official Contact | 8155314104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Kozlowski, Llc 115 Campbell St Ste 203 Geneva IL 60134-2777 Ph: (815) 531-4104 | Melissa Kozlowski, Llc 115 Campbell St Ste 203 Geneva IL 60134-2777 Ph: (815) 531-4104 |
| NPI Number | 1649674516 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 12/31/2019 |
| Certification Date | 12/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649674516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180.008869 (Illinois) | Primary |
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